Caitlin Malcom

NPI #1083207930 in Lacey, Washington

Provider Information

NPI Number: 1083207930
Entity Type: Individual
Name: Caitlin Malcom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 11, 2021
Last Updated: Feb 11, 2021

Practice Location

Address: 8282 28TH CT NE STE A
City: Lacey
State: Washington
ZIP Code: 98516-7162
Phone: (360) 915-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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